Using technology-based techniques to assess postural control and gait in older adults

Clinics in Geriatric Medicine

Volumn 12, Issue 4, 1996, Pages 725-744

  Alexander, N B ^a  

^a Geriatrics Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; BODY EQUILIBRIUM; BODY POSTURE; CEREBROVASCULAR DISEASE; ELECTROMYOGRAM; EXERCISE; FALLING; FUNCTIONAL ASSESSMENT; GAIT DISORDER; HUMAN; KNEE OSTEOARTHRITIS; PARKINSON DISEASE; PREVENTION; REVIEW; STABILOGRAPHY; STROKE; TECHNOLOGY; WALKING SPEED;

EID: 0029827562     PISSN: 07490690     EISSN: None     Source Type: Journal    
DOI: 10.1016/s0749-0690(18)30198-8     Document Type: Review

References (135)

1. Alexander N.B. Gait disorders in older adults J Am Geriatr Soc 44 1996 434 451
2. Alexander N.B. Postural control in older adults J Am Geriatr Soc 42 1994 93 108
3. Alexander N.B. Mollo J.M. Giordani B. Maintenance of balance, gait patterns, and obstacle clearance in Alzheimer's disease Neurology 45 1995 908 914
4. Alexander N.B. Shepard N. Gu M.J. Postural control in young and elderly adults when stance is perturbed: Kinematics J Gerontol 47 1992 M79 87
5. Andriacchi T.O.P. Galante J.O. Fermier R.W. The influence of total knee replacement design on walking and stair climbing J Bone Joint Surg 64A 1982 1328 1335
6. Badke M.B. Duncan P.W. Patterns of rapid motor responses during postural adjustments when standing in healthy and hemiplegic patients Phys Ther 63 1983 13 20
7. Badke M.B. Duncan P.W. DiFabio R.P. Influences of prior knowledge on automatic and voluntary postural adjustments in healthy and hemiplegic subjects Phys Ther 67 1987 1495 1500
8. Baloh R.W. Fife T.D. Zwerling L. Comparison of static and dynamic posturography in young and older people J Am Geriatr Soc 42 1994 405 412
9. Baloh R.W. Spain S. Socotch T.M. Posturography and balance problems in older people J Am Geriatr Soc 43 1995 638 644
10. Beckley D.J. Bloem B.R. van Dijk J.G. Electrophysiological correlates of postural instability in Pakinson's disease Electroencephalography Clinical Neuropsychology 81 1991 263 268
11. Begg R.K. Wytch R. Major R.E. Instrumentation used in clinical gait studies: A review J Med Eng Technol 13 1989 290 295
12. Berg K.O. Maki B.E. Williams J.I. Clinical and laboratory measures of postural balance in an elderly population Arch Phys Med Rehabil 73 1992 1073 1080
13. Beuter A. Carriere L. McFadyen B. The organization of stepping in patients with Parkinson's disease: Bradykinesia or discoordination? Can J Neurol Sei 19 1992 8 16
14. Bigland-Ritchie B. EMG/force relations and fatigue of human voluntary contractions Exerc Sport Sei Rev 9 1981 75 117
15. Blanke D.J. Hageman P.A. Comparison of gait of young men and elderly men Phys Ther 69 1989 144 148
16. Blin O. Ferrandez A.M. Serratrice G. Quantitative analysis of gait in Parkinson patients: Increased variability of stride length J Neurol Sei 98 1990 91 97
17. Bohannon R.W. Larkin P.A. Cook A.C. Decrease in timed balance test scores with aging Phys Ther 64 1984 1067 1070
18. Brandstater M.E. de Bruin H. Gowland C. Hemiplegie gait: Analysis of temporal variables Arch Phys Med Rehabil 64 1983 583 587
19. Brinkman J.R. Perry J. Rate and range of knee motion during ambulation in healthy and arthritic subjects Phys Ther 65 1985 1055 1060
20. Cerny K. Pathomechanics of stance: Clinical concepts for analysis Phys Ther 64 1984 1851 1859
21. Chandler J.M. Duncan P.W. Studenski S.A. Balance performance on the postural stress test: Comparison of young adults, healthy elderly, and fallers Phys Ther 70 1990 410 415
22. Chen H.C. Ashton-Miller J.A. Alexander N.B. Age effects on strategies used to avoid obstacles Gait and Posture 2 1994 139 146
23. Chen H.C. Ashton-Miller J.A. Alexander N.B. Effects of age and available response time on ability to step over an obstacle J Gerontol 49 1994 M227 233
24. Chen H.C. Ashton-Miller J.A. Alexander N.B. Stepping over obstacles: Gait patterns of healthy young and old adults J Gerontol 46 1991 196 203
25. Chen H.C. Schultz A.B. Ashton-Miller J.A. Stepping over obstacles: Dividing attention impairs performance of old more than young adults J Gerontol 51A 1996 M116 M122
26. Cohen H. Blatchly C.A. Gombash L.L. A study of the clinical test of sensory interaction and balance Phys Ther 73 1993 346 354
27. Collins J.J. DeLuca C.J. Open-loop and closed-loop control of posture: A random walk analysis of center of pressure trajectories Exp Brain Res 95 1993 308 318
28. Collopy M.C. Murray M.P. Gardner G.M. Kinesiologic measurements of functional performance before and after geometric total knee replacement Clin Orthop 126 1977 196 202
29. R.L. Craik C.A. Oastis Gait assessment in the clinic: Issues and approaches Rothstein J.M. Measurement in Physical Therapy 1985 Churchill Livingstone New York 169 205
30. Cunningham D.A. Rechnitzer P.A. Pearce M.E. Determinants of self-selected walking pace across ages 19-66 J Gerontol 37 1982 560 564
31. Dettmann M.A. Linder M.T. Sepie S.B. Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient Am J Phys Med 66 1987 77 90
32. H.C. Diener J. Dichgans Pathophysiology of posture Amblard B. Berthoz A. Clarac F. Posture and Gait: Development, Adaptation, and Modulation 1988 Elsevier New York 229 235
33. Dietz V. Berger W. Horstmann G.A. Posture in Parkinson's disease: Impairment of reflexes and programming Ann Neurol 24 1988 660 669
34. DiFabio R.P. Lower extremity antagonist muscle response following standing perturbation in subjects with cerebrovascular disease Brain Res 406 1987 43 51
35. DiFabio R.P. Badke M.B. McEvoy A. Kinematic properties of voluntary postural sway in patients with unilateral primary hemispheric lesions Brain Res 513 1990 248 254
36. J.L. Echternach Measurement issues in nerve conduction velocity and electromyographic testing Rothstein J.M. Measurement in Physical Therapy 1985 Churchill Livingstone New York
37. Ekdahl C. Jarnlo G.B. Andersson S.I. Standing balance in healthy subjects Scand J Reh-abil Med 21 1989 187 195
38. Elble R.J. Thomas S.S. Higgins C. Stride-dependent changes in gait of older people J Neurol 238 1991 1 5
39. Geurts A.C.H. Mulder T. Nienhuis B. Dual-task assessment of reorganization of postural control in persons with lower limb amputation Arch Phys Med Rehabil 72 1991 1059 1064
40. Grabiner M.D. Jahnigen D.W. Modeling recovery from stumbles: Preliminary data on variable selection and classification efficacy J Am Geriatr Soc 40 1992 910 913
41. Gronley J.K. Perry J. Gait analysis techniques: Rancho Los Amigos Hospital Gait Laboratory Phys Ther 64 1984 1831 1838
42. Gu M.J. Schultz A.B. Shepard N.T. Postural control in young and elderly adults when stance is perturbed: Dynamics J Biomech 29 1996 319 329
43. Hageman P.A. Blanke D.J. Comparison of gait of young and elderly women Phys Ther 66 1986 1382 1387
44. Hargreaves P. Scales J.T. Clinical assessment of gait using load measuring footwear Acta Orthop Scand 46 1975 877 895
45. Hassan S.S. Lichtenstein M.J. Shiavi R.G. Effect of loss of balance on biomechanics platform measures of sway: Influence of stance and method of adjustment J Biomech 23 1990 783 789
46. Hasselkus B.R. Shambes G.M. Aging and postural sway in women J Gerontol 30 1975 661 667
47. Hausdorff J.M. Ladin Z. Wei J.Y. Footswitch system for measurement of the temporal parameters of gait J Biomech 28 1995 347 351
48. Hesse S.A. Jahnke M.T. Bertelt C.M. Gait outcome in ambulatory hemiparetic patients after a 4-week comprehensive rehabilitation program and prognostic factors Stroke 25 1994 1999 2004
49. Hill K.D. Goldie P.A. Baker P.A. Retest reliability of the temporal and distance characteristics of hemiplegic gait using a footswitch system Arch Phys Med Rehabil 75 1994 577 583
50. Himann J.E. Cunningham D.A. Rechnitzer P.A. Age-related changes in speed of walking Med Sei Sports Exerc 20 1988 161 166
51. Holden M.K. Gill K.M. Magliozzi M.R. Clinical gait assessment in the neurologically impaired: Reliability and meaningfulness Phys Ther 64 1984 35 40
52. Hoodless D.J. Stainer K. Savic N. Reduced customary activity in chronic heart failure: Assessment with a new shoe-mounted pedometer Int J Cardiol 43 1994 39 42
53. Hu M.H. Woolacott M.H. Multisensory training of standing balance in older adults: I. Postural stability and one-leg stance balance J Gerontol 49 1994 M52 M61
54. Hu M.H. Woolacott M.H. Multisensory training of standing balance in older adults: II. Kinematic and electromyographic responses J Gerontol 49 1994 M62 M71
55. Hughes J.R. Bowes S.G. Leeman A.L. Parkinsonian abnormality of foot strike: A phenomenon of aging and/or one responsive to levodopa therapy? Br J Clin Pharmacol 29 1990 179 186
56. Inglin B. Woollacott M. Age-related changes in anticipatory postural adjustments associated with arm movements J Gerontol 43 1988 M105 M113
57. Jansen E.C. Vittas D. Hellberg S. Normal gait of young and old men and women Acta Orthop Scand 53 1982 193 196
58. Judge J.O. King M.B. Whipple R. Dynamic balance in older persons: Effects of reduced visual and proprioceptive input J Gerontol 50A 1995 M263 M270
59. Judge J.O. Lindsey C. Underwood M. Balance improvements in older women: Effects of exercise training Phys Ther 73 1993 254 265
60. Kaneko M. Morimoto Y. Kimura M. A kinematic analysis of walking and physical fitness testing in elderly women Canadian Journal of Sports Sciences 16 1991 223 228
61. Keshner E. Commentary to Judge et al: Balance improvements in older women: Effects of exercise training Phys Ther 73 1993 263 264
62. King M.B. Judge J.O. Wolfson L. Functional base of support decreases with age J Gerontol 49 1994 M258 M263
63. Klenerman L. Dobbs R.J. Weller C. Bringing gait analysis out of the laboratory and into the clinic Age Ageing 17 1988 397 400
64. Knuttson E. Different types of disturbed motor control in gait of hemiparetic patients Brain 102 1979 405 430
65. Kroll M.A. Otis J.C. Sculco T.P. The relationship of stride characteristics to pain before and after total knee arthroplasty Clin Orthop 239 1989 191 195
66. Lassau-Wray E.R. Parker A.W. Neuromuscular responses of elderly women to tasks of increasing complexity imposed during walking Eur J Appl Physiol 67 1993 476 480
67. Latash M.L. Aruin A.S. Neyman I. Anticipatory postural adjustments during self inflicted and predictable perturbations in Parkinson's disease J Neurol Neurosurg Psych 58 1995 326 334
68. Lawson G.D. Shepard N.T. Oviatt D.L. Electromyographic responses of lower leg muscles to upward toe tilts as a function of age J Vestib Res 4 1994 203 214
69. Ledin T. Kronhed A.C. Moller C. Effects of balance training in elderly evaluated by clinical tests and dynamic posturography J Vestib Res 1 1991 129 138
70. Lee W.A. A control systems framework for understanding normal and abnormal posture Am J Occup Ther 43 1989 291 301
71. Lichtenstein M.J. Burger M.C. Shields S.L. Comparison of biomechanics platform measures of balance and videotaped measures of gait with a clinical mobility scale in elderly women J Gerontol 45 1990 M49 M54
72. Luchies C.W. Alexander N.B. Schultz A.B. Stepping responses of young and old adults to postural disturbances: Kinematics J Am Geriatr Soc 42 1994 506 512
73. MacKinnon C.D. Winter D.A. Control of whole body balance in the frontal plane during human walking J Biomech 26 1993 633 644
74. Maki B.E. Biomechanical approach to quantifying anticipatory postural adjustments in the elderly Med Biol Eng Comput 21 1993 355 362
75. Maki B.E. Holliday P.J. Fernie G.R. Aging and postural control: A comparison of spontaneous- and induced-sway balance tests J Am Geriatr Soc 38 1990 1 9
76. Maki B.E. Holliday P.J. Topper A.K. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population J Gerontol 49 1994 M72 M84
77. Maki B.E. Holliday P.J. Topper A.K. Fear of falling and postural performance in the elderly J Gerontol 46 1991 M123 M131
78. Maki B.E. Whitelaw R.S. Mcllroy W.E. Does frontal-plane asymmetry in compensatory postural responses represent preparation for stepping? Neurosci Lett 149 1993 87 90
79. Manchester D. Woollacott M. Zederbauer-Hylton N. Visual, vestibular and somatosensory contributions to balance control in the older adult J Gerontol 44 1989 M118 M127
80. Mandel A.R. Nymark J.R. Balmer S.J. Electromyographic versus rhythmic biofeedback in computerized gait retraining with stroke patients Arch Phys Med Rehabil 71 1990 649 654
81. McMurdo M.E.T. Rennie L. A controlled trial of exercise by residents of old people's homes Age Ageing 22 1993 11 15
82. Messier S.P. Loeser R.F. Hoover J.L. Osteoarthritis of the knee: Effects on gait, strength, and flexibility Arch Phys Med Rehabil 73 1992 29 36
83. Mizrahi J. Susak Z. Heller L. Variation of time-distance parameters of the stride as related to clinical Gait improvements in hemiolegics Scand J Rehabil Med 14 1982 133 140
84. Montoya R. Dupui P.H. Pages B. Step-length biofeedback device for walk rehabilitation Med Biol Eng Comput 32 1994 416 420
85. Murray M.P. Kory R.C. Clarkson B.H. Walking patterns in healthy old men J Gerontol 24 1969 169 178
86. Murray M.P. Wood A.A.S. Sepie S.B. Normal postural stability and steadiness: Quantitative assessment J Bone Joint Surg 57 1975 510 516
87. Murray M.P. Gore D.R. Sepie S.B. Antalgic maneuvers during walking in men with unilateral knee disability Clin Orthop 199 1985 192 200
88. Murray M.P. Sepic S.B. Gardner G.M. Walking patterns of men with parkinsonism Am J Phys Med 57 1978 278 294
89. Olney S.J. Griffin M.P. McBride I.D. Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: A regression approach Phys Ther 74 1994 872 885
90. Ostrosky K.M. VanSwearingen J.M. Burdett R.G. A comparison of gait characteristics in young and old subjects Phys Ther 74 1994 637 646
91. Pai Y.C. Rogers M.W. Hedman L.D. Alterations in weight transfer capabilities in adults with hemiparesis Phys Ther 74 1994 647 659
92. Pandy M.G. Berme N. Quantitative assessment of gait determinants during single stance via a three-dimensional model: Part 2. Pathological gait J Biomech 22 1989 725 733
93. Panzer V.P. Bandinelli S. Hallett M. Biomechanical assessment of quiet standing and changes associated with aging Arch Phys Med Rehabil 76 1995 151 157
94. Pardo R.D. Deathe A.B. Winter D.A. Walker user risk index: A method for quantifying stability in walker users Am J Phys Med Rehabil 72 1993 301 305
95. Patla A.E. Frank J.S. Winter D.A. Age-related changes in balance control system: Initiation of stepping Clin Biomech 8 1993 179 184
96. Perry J. Gait analysis: Normal and pathological function 1992 Slack Inc Thorofare, NJ
97. Perry J. The mechanics of walking in hemiplegia Clin Orthop 63 1969 23 31
98. Ring C. Mathews R. Nayak U.S.L. Visual push: A sensitive measure of dynamic balance in man Arch Phys Med Rehabil 69 1988 256 260
99. Ring C. Nayak U.S.L. Isaacs B. The effect of visual deprivation and proprioceptive change on postural sway in healthy adults J Am Geriatr Soc 37 1989 745 749
100. Robinson J.L. Smidt G.L. Quantitative gait evaluation in the clinic Phys Ther 61 1981 351 353
101. Rogers M.W. Kukulka C.G. Soderberg G.L. Age-related changes in postural responses preceding rapid self-paced and reaction time movements J Gerontol 47 1992 M159 M165
102. Rogers M.W. Kukulka C.G. Soderberg G.L. Postural adjustments preceding rapid arm movements in Parkinsonian subjects Neurosci Lett 75 1987 246 251
103. Saunders J.B. Inman V.T. Eberhart H.D. The major determinants in normal and pathological gait J Bone Joint Surg 35 1953 543 558
104. Shepard N.T. Schultz A.B. Alexander N.B. Postural control in young and elderly adults when stance is challenged: Clinical versus laboratory measurements Ann Oto Rhino Laryngol 102 1993 508 517
105. Simon S.R. Trieshman H.W. Burdett R.G. Quantitative gait analysis after total knee arthroplasty for monarticular degenerative arthritis J Bone Joint Surg 65A 1983 605 A613
106. Simoneau G.G. Cavanagh P.R. Ulbrecht J.S. The influence of visual factors on fall-related kinematic variables during stair descent by older women J Gerontol 46 1991 M188 M195
107. Smidt G.L. Mommens M.A. System of reporting and comparing influence of ambulatory aids on gait Phys Ther 60 1980 551 558
108. Smidt G.L. Deusinger R.H. Arora J. An automated accelerometry system for gait analysis J Biomech 10 1977 367 375
109. Smith D.C. Evans A.L. Gilchrist W. Novel instrument for measuring the walking speed of elderly patients Med Biol Eng Comput 28 1990 605 607
110. Stanic U. Bajd T. Valencic V. Standardization of kinematic gait measurements and automatic pathological gait pattern diagnostics Scand J Rehab: Med 9 1977 95 105
111. Stauffer R.N. Chao E.Y.S. Gyory A.N. Biomechanical analysis of the diseased knee joint Clin Orthop 126 1977 246 255
112. Stelmach G.E. Populin L. Muller F. Postural muscle onset and voluntary movement in the elderly Neurosci Lett 117 1990 188 193
113. Stelmach G.E. Zelaznik H.N. Lowe D. The influence of aging and attentional demands on recovery from postural instability Aging 2 1990 155 161
114. Stelmach G.E. Phillips J. DiFabio R.P. Age, functional postural reflexes and voluntary sway J Gerontol 44 1989 B100 B106
115. Stelmach G.E. Teasdale N. DiFabio R.P. Age-related decline in postural control mechanisms Int J Aging Hum Dev 29 1989 205 223
116. A. Straube K. Botzel M. Hawken Postural control in the elderly: Differential effects of visual, vestibular, and somatosensory input Amblard B. Berthoz A. Clarac F. Posture and Gait: Development, Adaptation, and Modulation 1988 Elsevier New York 105 114
117. Stuberg W. Straw L. Devine L. Validity of visually recorded temporal-distance measures at selected walking velocities for gait analysis Percep Motor Skills 70 1990 323 333
118. Studenski S. Duncan P.W. Chandler J. Postural responses and effector factors in persons with unexplained falls: Results and methodologic issues J Am Geriatr Soc 39 1991 229 234
119. Teasdale N. Stelmach G.E. Breunig A. Postural sway characteristics of the elderly under normal and altered visual and support surface conditions J Gerontol 46 1991 B238 B244
120. Teasdale N. Stelmach G.E. Breunig A. Age differences in visual sensory integration Exp Brain Res 85 1991 691 696
121. Thapa P.B. Gideon P. Fought R.L. Comparison of clinical and biomechanical measures of balance and mobility in elderly nursing home residents J Am Geriatr Soc 42 1994 493 500
122. Thelen DG, Schultz AB, Alexander NB, et al:Effects of age on rapid ankle torque development. J Gerontol, in press
123. Tinetti M.E. Performance-oriented assessment of mobility problems in elderly patients J Am Geriatr Soc 34 1986 119 126
124. Traub M.M. Rothwell J.C. Marsden C.D. Anticipatory postural reflexes in Parkinson's disease and other akinetic-rigid syndromes and in cerebellar ataxia Brain 103 1980 393 412
125. Wall J.C. Turnbull G.L. Gait asymmetries in residual hemiplegia Arch Phys Med Rehabil 67 1986 550 553
126. Waters R.L. Hislop H.J. Perry J. Energetics: Application to the study and management of locomotor disabilities Orthop Clin North Am 9 1978 351 377
127. Williams K. Bird M. The aging mover: A preliminary report on constraints to action Int J Aging Hum Dev 34 1992 241 255
128. Winstein C.J. Gardner E.R. McNeal D.R. Standing balance training: Effect on balance and locomotion in hemiparetic adults Arch Phys Med Rehabil 70 1989 755 762
129. Winter D.A. Biomechanical motor patterns in normal walking J Motor Behav 15 1983 302 330
130. Winter D.A. Concerning the scientific basis for the diagnosis of pathological gait and for rehabilitation protocols Physiotherapy Canada 37 1985 245 252
131. Winter D.A. Patla A.E. Frank J.S. Biomechanical walking changes in the fit and healthy elderly Phys Ther 70 1990 340 347
132. Wolfson L. Whipple R. Derby C.A. A dynamic posturography study of balance in healthy elderly Neurology 42 1992 2069 2075
133. Woollacott M.H. Manchester D.L. Anticipatory postural adjustments in older adults: Are changes in response characteristics due to changes in strategy? J Gerontol 48 1993 M64 M70
134. Woollacott M.H. Shumway-Cook A. Nashner L.M. Aging and posture control: Changes in sensory organization and muscular coordination Int J Aging Hum Dev 23 1986 97 114
135. Yack H.J. Berger R.C. Dynamic stability in the elderly: Identifying a possible measure J Gerontol 48 1993 M225 230